MANDYS PRIMARY HEALTHCARE LLC (NPI# 1306246293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306246293 |
| Entity Type | Organization |
| Organization Name | MANDYS PRIMARY HEALTHCARE LLC |
| Practice Address |
35055 La Highway 16 Suite 2h Denham Springs LA 70706-1535 |
| Practice Telephone | 2257912400 |
| Mailing Telephone | 2257912400 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | MANDY R ERWIN (DNP) |
| Authorized Official Telephone | 2257912400 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP04970 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1332178 | 05 | |
| LA | NPI INDIVIDUAL | MB2636530 | 01 |
| Street Address |
35055 LA HIGHWAY 16 SUITE 2H |
| City | DENHAM SPRINGS |
| State | LA |
| Zip Code | 70706-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902273337 | Noor Isam Azzawe | Pharmacist | 34025 Louisiana Highway 16, Denham Springs, LA 70706 | 2015-09-02 |
| 1043583784 | Wal-mart Stores East Lp | Technician/Technologist | 34025 La Hwy 16, Denham Springs, LA 70706 | 2012-02-10 |
| 1326358524 | Narconon Louisiana New Life Retreat | Substance Abuse Rehabilitation Facility | 35059 Bend Rd, Denham Springs, LA 70706 | 2010-10-21 |
| 1497971592 | Michael S Sceroler | Dentist | 8050 Watson Circle, Denham Springs, LA 70706 | 2007-04-17 |
| 1679583645 | Ellis Edward Johnson IIi | Physical Therapist | 35055 La Hwy 16, Ste 1c, Denham Springs, LA 70706 | 2006-08-09 |
| 1881602720 | Melanie Harrell Sharp | Nurse Practitioner | S1498 Hwy 16, St Helena Parish Hospital Rural Health Clinic, Denham Springs, LA 70706 | 2006-08-04 |
| 1760420244 | Mandy Erwin | Nurse Practitioner | 35700 La Hwy 16, Denham Springs, LA 70706 | 2006-06-04 |
| 1215350111 | Valencia Vernon | Pharmacist | 34025 La Hwy 16, Denham Springs, LA 70706 | 2014-01-28 |
| 1912276478 | Christy Scott Rider | Physical Therapist | 35055 La Hwy 16, Suite 1-c, Denham Springs, LA 70706 | 2011-12-29 |
| 1063707016 | Joshua C Leblanc | Physical Therapist | 35055 La Hwy 16, Ste 1-c, Denham Springs, LA 70706 | 2011-06-17 |
| Find all providers in zip 70706 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073072310 | Chillena Edwards | Nurse Practitioner | 8787 Shephard Dr, Denham Springs, LA 70726-6338 | 2019-03-16 |
| 1104344175 | Evangeline Marie Fontenot | Nurse Practitioner | 8369 Florida Blvd Ste 8, Denham Springs, LA 70726-7862 | 2017-08-30 |
| 1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
| 1053749226 | Christine Galloway Palmer | Nurse Practitioner | 13617 Brown Road, Denham Springs, LA 70726 | 2013-10-24 |
| 1417291964 | Linda Yvette Leblanc | Nurse Practitioner | 1234 Del Este Ave Ste 101, Denham Springs, LA 70726-4833 | 2012-11-22 |
| 1083260319 | Amanda Lapeze Bethel | Nurse Practitioner | 8375 Florida Blvd, Denham Springs, LA 70726-7806 | 2019-08-13 |
| 1215492475 | Macy Catalano | Nurse Practitioner | 8369 Florida Blvd Ste 8, Denham Springs, LA 70726-7862 | 2019-02-01 |
| 1801362561 | Allison Martin | Nurse Practitioner | 25905 Juban Rd, Denham Springs, LA 70726-6066 | 2018-10-22 |
| 1932687449 | Maura Catherine Slaven | Nurse Practitioner | 8369 Florida Blvd Ste 8, Denham Springs, LA 70726-7862 | 2018-08-06 |
| 1679940530 | Angelle Domonique Bush | Nurse Practitioner | 139 Veterans Blvd, Denham Springs, LA 70726-5130 | 2015-08-27 |
| Find all providers in DENHAM SPRINGS | ||||
| City | DENHAM SPRINGS |
| Zip Code | 70706 |
Please comment or provide details below to improve the information on MANDYS PRIMARY HEALTHCARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.